Beacon Pain Clinic

NPI #1477941672 in Boise, Idaho

Provider Information

NPI Number
1477941672
Entity Type
Organization
Organization Name
Beacon Pain Clinic
Primary Specialty
Pain Medicine - Interventional Pain Medicine
Enumeration Date
Dec 23, 2014
Last Updated
Dec 23, 2014

Practice Location

Address
115 W MAIN ST
Address 2
102
City
Boise
State
Idaho
ZIP Code
83702-7302
Phone
(208) 342-2104

Authorized Official

Name
DR. REBEKAH GUY, MD
Title
PHYSICIAN
Phone
(208) 342-2104

Specialties & Taxonomy Codes

Specialty
Pain Medicine - Interventional Pain MedicineInterventional Pain Medicine

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